Factors associated with HIV infection among men who have sex with men in Henan Province, China: a cross-sectional study

Abstract

BackgroundHIV prevalence among men who have sex with men (MSM) has increased rapidly in China. Behavioral and biological interventions are key to controlling the spread of HIV in the MSM population and the primary strategy for reducing the spread of AIDS in China. The purpose of this study is to investigate the prevalence of HIV among MSM in Henan province and to assess their knowledge levels and risk behaviors related to HIV/AIDS.MethodA cross-sectional survey was conducted among 388 MSM in 2010 in Zhengzhou City, Henan province, China.ResultsOf the 388 respondents, 13.1% were infected with HIV and 10.3% were infected with syphilis. The results of multivariate analysis showed that participants who had a history of being infected by syphilis were more than 4 times more likely to be HIV positive (AOR=4.91; 95% CI: 1.70 to 12.02). For those who were residents from other provinces, the risk of HIV infection was 5.53 times higher (OR=5.53, 95% CI: 1.14, 6.25). Receipt of condoms (AOR = 0.15; 95% CI: 0.02 to 0.87), consistent condom use during last intercourse with a male (AOR=0.35; 95% CI: 0.14 to 0.87), and consistent condom use during last intercourse with a female (AOR=0.16; 95% CI: 0.08 to 0.90) were associated with a lower risk of HIV infection.ConclusionThe study suggests that some intervention strategies, including education intervention, condom promotion and distribution, and HIV counseling and testing are necessary to control HIV infection among MSM.

HPV vaccination acceptability among men who have sex with men in Urumqi, China

“…to women since in China only heterosexual marriage is currently legally allowed); a proportion that is considerably higher than in previous research. 28 This finding further demonstrates that enhancing HPV knowledge and prevention of HPV infection in this high-risk group in Urumqi and more generally in China is of paramount importance in order to prevent HPV transmission to the female partners of the significant portion of MSM who are married. As such it is of critical importance to recommend HPV vaccination of highrisk MSM in order to decrease the prevalence of HPV among this population.…”

Prevalence and associated factors of HIV infection among men who have sex with men in Hefei, China, 2013–2014: a cross-sectional study

“…But high-risk behaviours were common among these participants; 57.78% of the participants used a condom in the last sex with male, and the proportion of consistent condom use was only 28.33% in the past six months; 18.74% of the participants had sex with female in the past six months, which are less than the neighbouring province of Anhui (Henan). 23 The percentage of condom use in the last sex with female was lower than male-to-male sex. During the past six months, 25.45% of the participants never used a condom and 58.18% of the respondents sometimes used a condom in heterosexual activities.…”

Seeking Male Sexual Partners via Internet and Traditional Venues among Chinese Men Who Have Sex with Men: Implications for HIV Risk Reduction Interventions

“…A diversity of channels are used among MSM to find sexual partners (sex-finding); this adds to the complexity of sexual networks and presents a huge challenge in coping with the ever-growing HIV epidemic among Chinese MSM [9][10][11][12][13]. Traditionally, sex-finding has been concentrated in public locations such as parks, public toilets, entertainment facilities (e.g., gay-friendly bars/pubs, bathhouses, and saunas) [14,15].…”